Active NPI 1972512432 Individual Practitioner Male Practitioner

Dr. Dennis Elwood Johnson , MD

Specialist • Visalia, CA

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Dennis Johnson, MD is a registered Specialist practitioner in Visalia, CA. With approximately 44 years of clinical practice since graduating from Medical College Of Wisconsin in 1982, Dr. Johnson provides healthcare services at the registered practice location at 1610 S COURT ST.

Dr. Johnson is affiliated with Kaweah Delta Health Care District and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound of heart with color-depicted blood flow, rate, direction and valve function, exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1610 S Court St

Visalia, CA 932774946

Telephone 5596258898

Fax 5596258010

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Visalia, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +3.0 yrs vs City Avg

City Avg: 41.0 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

20 Specialists

Practicing in Visalia, CA (6446 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (44 Years) 44 Yrs

Visalia Specialty Average (41.0 Years) 41.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,537	738	$286.79	$97.14
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	651	622	$139.90	$68.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	179	132	$398.80	$144.87
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	96	94	$28.46	$13.83
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	86	86	$473.97	$75.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	85	36	$241.88	$118.71
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	66	34	$60.64	$29.46
93280 Programming of dual lead pacemaker system	55	40	$76.00	$36.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	49	$432.02	$173.27
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	53	52	$52.74	$25.56
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	47	44	$16.54	$8.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$368.71	$133.30
93297 Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days	38	12	$52.18	$24.91
99442 Telephone medical discussion with physician, 11-20 minutes	35	25	$202.27	$66.13
93295 Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days	26	12	$74.72	$36.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	14	$160.80	$79.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$292.89	$131.08
93880 Ultrasound of both sides of head and neck blood flow	18	17	$77.12	$37.53
93308 Ultrasound of heart, follow-up	18	18	$50.62	$24.83
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$286.66	$97.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,763	751	$277.87	$98.94
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	745	697	$144.18	$70.03
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	135	49	$62.00	$30.39
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	126	126	$29.84	$14.19
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	113	113	$277.96	$77.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	101	38	$216.42	$121.22
93297 Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days	81	13	$54.10	$26.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	61	$315.96	$176.70
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	59	56	$16.92	$8.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$357.97	$133.68
99442 Telephone medical discussion with physician, 11-20 minutes	54	44	$196.38	$67.20
93295 Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days	50	19	$76.78	$37.44
93280 Programming of dual lead pacemaker system	50	39	$78.50	$38.07
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	48	47	$55.40	$26.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	24	$387.18	$146.07
93880 Ultrasound of both sides of head and neck blood flow	24	24	$79.34	$38.65
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	11	11	$50.38	$23.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,770	770	$269.78	$99.78
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	829	777	$145.36	$71.21
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	456	430	$17.06	$8.35
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	118	118	$30.10	$14.79
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	112	112	$159.80	$78.95
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	112	39	$62.50	$30.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$347.54	$137.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	59	$375.90	$148.62
93280 Programming of dual lead pacemaker system	71	52	$79.14	$38.90
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	47	47	$55.86	$27.49
93295 Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days	45	18	$77.42	$38.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	20	$210.12	$104.05
99442 Telephone medical discussion with physician, 11-20 minutes	31	25	$190.66	$67.81
93880 Ultrasound of both sides of head and neck blood flow	19	19	$79.16	$39.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$407.22	$201.46
99443 Telephone medical discussion with physician, 21-30 minutes	13	13	$270.20	$100.52
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	12	12	$43.12	$21.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$276.87	$136.54
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	12	12	$589.20	$290.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,693	753	$216.39	$102.30
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	759	715	$153.90	$72.92
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	620	571	$17.62	$8.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	194	131	$277.56	$149.75
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	125	125	$31.08	$15.12
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	112	112	$165.50	$80.27
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	75	32	$64.98	$31.40
93280 Programming of dual lead pacemaker system	64	54	$81.34	$39.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$266.82	$139.79
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	50	50	$55.20	$26.66
93880 Ultrasound of both sides of head and neck blood flow	49	49	$82.50	$39.07
93297 Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days	45	12	$55.98	$27.40
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	33	31	$606.08	$295.99
93295 Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days	30	16	$79.96	$38.89
93308 Ultrasound of heart, follow-up	28	27	$53.92	$26.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	12	$215.82	$105.56
99443 Telephone medical discussion with physician, 21-30 minutes	19	18	$168.26	$102.78
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$127.58	$69.28
99442 Telephone medical discussion with physician, 11-20 minutes	18	16	$109.12	$69.60
93567 Injection for X-ray imaging of aorta above heart valve	14	14	$107.16	$52.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$348.74	$189.92
93925 Ultrasound of leg arteries or artery grafts	13	13	$80.94	$39.14
93312 Ultrasound of heart with probe in esophagus, with report	12	11	$230.14	$112.33
78431 Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan	11	11	$199.00	$93.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,067	631	$210.06	$81.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	609	416	$269.20	$115.87
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	554	525	$18.57	$8.80
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	387	378	$254.62	$76.88
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	291	283	$254.62	$76.89
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	119	118	$32.36	$15.52
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	105	105	$371.32	$82.70
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	77	45	$74.26	$32.53
93297 Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days	77	21	$54.92	$28.06
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	73	73	$57.29	$27.63
93280 Programming of dual lead pacemaker system	69	50	$96.81	$40.71
99213 Established patient office or other outpatient visit, typically 15 minutes	59	58	$123.86	$52.50
99443 Telephone medical discussion with physician, 21-30 minutes	51	43	$119.56	$81.18
99442 Telephone medical discussion with physician, 11-20 minutes	48	46	$97.50	$53.13
93308 Ultrasound of heart, follow-up	42	41	$84.87	$27.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$210.06	$133.47
93295 Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days	33	13	$148.53	$40.05
93880 Ultrasound of both sides of head and neck blood flow	32	32	$169.74	$41.15
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	24	24	$1013.16	$296.68
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	22	17	$64.71	$22.25
93290 Evaluation of implantable heart and blood vessel monitoring system	16	11	$70.02	$22.82
93567 Injection for X-ray imaging of aorta above heart valve	14	14	$118.30	$53.41
93312 Ultrasound of heart with probe in esophagus, with report	12	12	$240.30	$115.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$269.20	$174.94
93880 Ultrasound of both sides of head and neck blood flow	11	11	$169.74	$41.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,635	723	$203.94	$80.66
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	493	468	$18.03	$8.72
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	458	428	$247.20	$76.29
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	329	318	$247.20	$76.24
99213 Established patient office or other outpatient visit, typically 15 minutes	209	184	$120.25	$52.15
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	171	169	$360.50	$82.02
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	149	148	$31.42	$15.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	138	123	$261.36	$113.71
93880 Ultrasound of both sides of head and neck blood flow	118	114	$164.80	$41.07
93280 Programming of dual lead pacemaker system	104	56	$93.99	$39.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	91	45	$176.13	$106.40
93567 Injection for X-ray imaging of aorta above heart valve	61	60	$114.85	$53.01
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	58	55	$55.62	$26.94
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	48	45	$983.65	$298.58
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	47	31	$62.83	$22.29
93308 Ultrasound of heart, follow-up	44	44	$82.40	$26.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$120.25	$77.48
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	25	19	$72.10	$31.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$345.05	$196.56
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	19	19	$1081.50	$309.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$203.94	$131.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,299	691	$177.76	$103.01
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	335	310	$147.94	$72.85
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	330	310	$424.71	$190.78
J2785 Injection, regadenoson, 0.1 mg	296	74	$80.00	$55.69
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	232	116	$169.00	$116.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	162	54	$117.20	$71.64
93880 Ultrasound of both sides of head and neck blood flow	154	151	$409.98	$190.20
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	133	129	$18.45	$8.24
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	116	116	$816.55	$485.45
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	110	110	$162.00	$64.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	104	94	$243.44	$128.45
93000 Routine ekg using at least 12 leads including interpretation and report	97	81	$35.00	$17.03
93280 Programming of dual lead pacemaker system	76	57	$106.49	$38.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	67	$324.28	$199.62
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent	73	17	$20.00	$9.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	25	$64.78	$37.95
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	30	30	$911.96	$288.01
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$117.71	$67.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	17	$168.55	$102.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$268.00	$163.44
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	16	16	$94.51	$26.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$226.01	$130.57
93923 Complete ultrasound study of arm and leg arteries	12	11	$285.17	$118.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,002	774	$173.93	$111.06
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	454	420	$460.00	$242.32
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	376	349	$120.00	$65.64
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	338	168	$169.00	$119.75
J2785 Injection, regadenoson, 0.1 mg	332	82	$80.00	$54.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	329	97	$117.00	$73.54
93880 Ultrasound of both sides of head and neck blood flow	210	202	$443.00	$211.08
93000 Routine ekg using at least 12 leads including interpretation and report	207	165	$34.93	$17.60
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	172	171	$842.00	$520.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	153	83	$168.00	$106.20
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	149	147	$162.00	$69.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	148	134	$324.00	$206.04
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	129	124	$25.00	$8.65
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent	124	22	$20.00	$9.39
93280 Programming of dual lead pacemaker system	118	65	$108.00	$39.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	96	84	$235.00	$148.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$266.31	$168.09
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	61	59	$100.00	$27.63
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	49	49	$904.10	$300.24
93279 Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report	24	14	$92.00	$33.56
93923 Complete ultrasound study of arm and leg arteries	16	16	$302.00	$135.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$220.00	$138.92

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA 00G603580

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Kaweah Delta Health Care District

202 W Willow Ave, Visalia, CA 932916238

Phone: 5596246570

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Judy Gabrielsen , NP, PA-C

Physician Assistant

NPI 1306056098

Nurse Practitioner, Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 06, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2008

Registered at 1610 S COURT ST, VISALIA, CA 932774946 (Tel: 5596258898)

📍

Updated Business Mailing Address October 06, 2008

Registered at 1610 S COURT ST, VISALIA, CA 932774946 (Tel: 5596258898)

👤

Provider Name / Credentials Updated October 06, 2008

Recorded as DENNIS JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2008

Specialist (License #00G603580 in CA)

🟢

Initial NPI Registration & Enumeration August 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972512432

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 05, 2006

Last Update: October 06, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1610 S Court St

Visalia, CA 932774946

Phone: 5596258898

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.